NPI 1376300350

Lakenya Travis, PCMHT

Practitioner Mental Health Counselor Prentiss, MS

Practice location

Address: 116 Je Johnson Rd, Prentiss, MS 39474-3104
Phone: (601) 792-4872
Fax: (601) 792-2643
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6380 (MS)

Other Counselor providers in Mississippi →

Registry record

NPI: 1376300350
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2024
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.